MSRA stems Flashcards
tuberculosis.
Haemoptysis may be severe
Chest x-ray shows rounded opacity
Aspergilloma
Flat nose, renal impairment, haemoptosis
Granulomatosis with polyangitis - canca, epithelial crescents on renal biopsy, vasculitic rash
Haemoptysis
Systemically unwell: fever, nausea
Glomerulonephritis
Goodpastur’s syndrome
Dyspnoea
Atrial fibrillation
Malar flush, haemoptosis
Mid-diastolic murmur
Mitral stenosis
Low ferritin, low B12, bloated, diarrhoea
Coeliac
PEFR 33 - 50% best or predicted
Can’t complete sentences
RR > 25/min
Pulse > 110 bpm
Severe asthma
Young person with Copd sx, not responding to asthma tx,
Alpha-abntitrypsin deficiency
inflammation and fibrosis of intra and extra-hepatic bile ducts.
PSC - cholangiocarcinoma, colorectal cancer, P-anca, UC
Bloody stools ibd - Continuous, limited to submucosa, tenesmus, bloody, no weight loss, uveitis, pseudopolyps
UC
Post cholecystectomy chronic diarrhoea, fatty stools, low vitamins. TX?
Bile acide malabsorption (excessive production or post op) tx cholestyramine
alcoholic hepatitis
AST> ALT 2:1
salt before lime in tequila
Post ERCP upper abdo pain
Pancreatitis
57-year-old woman with a history of gallstones presents with progressive right upper quadrant pain, rigors and jaundice.
Ascending cholangitis
known gallstones, Abdominal pain, distension and vomiting
gallstone ileus: small bowel obstruction secondary to an impacted gallstone. It may develop if a fistula forms between a gangrenous gallbladder and the duodenum.
Type of hypersensitivty: Antibodies that recognise and bind to the cell surface receptors.
This either stimulating them or blocking ligand binding
Type 5 hypersensitivity. MS/ Graves disease
